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Tourette's syndrome
Guidelines
Key sources
The following summarized guidelines for the evaluation and management of Tourette's syndrome are prepared by our editorial team based on guidelines from the American Academy of Neurology (AAN 2019).
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Diagnostic investigations
Medical management
Alpha-adrenergic agonists: as per AAN 2019 guidelines, prescribe α-2 adrenergic agonists for the treatment of patients with tics when the benefits of treatment outweigh the risks.
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Antipsychotics
Topiramate
Cannabis-based medications
Nonpharmacologic interventions
Comprehensive behavioral intervention for tics: as per AAN 2019 guidelines, consider comprehensive behavioral intervention for tics as an initial treatment option relative to watchful waiting for patients with tics who do not experience functional impairment if they are motivated to attempt treatment.
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Therapeutic procedures
Botulinum toxin injections: as per AAN 2019 guidelines, consider prescribing botulinum toxin injections for the treatment of adolescent and adult patients with localized and bothersome simple motor tics when the benefits of treatment outweigh the risks.
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Deep brain stimulation
Specific circumstances
Patient education
Patient and caregiver education
As per AAN 2019 guidelines:
Inform patients and their caregivers about the natural history of tic disorders.
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Counsel patients that treatments for tics infrequently result in complete cessation of tics.
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Psychoeducation for teachers and peers